Supplies, drugs & other prices at Dignity Health Arizona General Hospital – Mesa
Mesa, AZ · every code in this section with a posted price and a Medicare benchmark.
34 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $8.87 | $35.91 | 0.2× |
| 2d tte w or w/o fol w/con,co (C8923) | $782.25 | $3,167 | 0.9× |
| 2d tte w or w/o fol w/con,fu (C8924) | $378.41 | $1,532 | 1.0× |
| Admin hepatitis b vaccine (G0010) | $15.32 | $62 | 0.3× |
| Admin influenza virus vac (G0008) | $49.40 | $200 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $24.21 | $98 | 0.5× |
| Alcohol/subs interv 15-30mn (G0396) | $34.34 | $139 | 0.9× |
| Alcohol/subs interv >30 min (G0397) | $34.34 | $139 | 0.2× |
| Catheterize for urine spec (P9612) | $16.80 | $68 | 1.8× |
| Direct refer hospital observ (G0379) | $562.18 | $2,276 | 0.9× |
| Drug test def 1-7 classes (G0480) | $29.64 | $120 | 0.3× |
| Drug test def 15-21 classes (G0482) | $47.92 | $194 | 0.2× |
| Drug test def 22+ classes (G0483) | $196.37 | $795 | 0.8× |
| Hospital outpt clinic visit (G0463) | $73.36 | $297 | 0.5× |
| Mra w/cont, abd (C8900) | $932.68 | $3,776 | 2.5× |
| Mra w/cont, chest (C8909) | $1,000.60 | $4,051 | 2.7× |
| Mra w/cont, lwr ext (C8912) | $913.16 | $3,697 | 2.5× |
| Mra w/cont, pelvis (C8918) | $979.61 | $3,966 | 2.6× |
| Mra w/o cont, abd (C8901) | $685.68 | $2,776 | 2.7× |
| Mra w/o cont, chest (C8910) | $506.60 | $2,051 | 2.0× |
| Mra w/o cont, lwr ext (C8913) | $913.16 | $3,697 | 3.6× |
| Mra w/o cont, pelvis (C8919) | $732.61 | $2,966 | 2.9× |
| Mra w/o fol w/cont, chest (C8911) | $1,494.60 | $6,051 | 4.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,160.16 | $4,697 | 3.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,226.61 | $4,966 | 3.3× |
| Mra, w/dye, upper extremity (C8934) | $689.38 | $2,791 | 1.9× |
| Mra, w/o dye, upper extr (C8935) | $442.38 | $1,791 | 1.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $936.38 | $3,791 | 2.5× |
| Psa screening (G0103) | $62.74 | $254 | 3.2× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $320.61 | $1,298 | 0.4× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,739.83 | $15,141 | 1.1× |
| Tte w or w/o fol w/con,stres (C8928) | $509.07 | $2,061 | 0.6× |
| Tte w or wo fol wcon,doppler (C8929) | $832.15 | $3,369 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $629.73 | $2,549.50 | 0.9× |